Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2020-09-09-9

Project Information

Project IdentifiersProject ID: 214176
DEA: 033F0904
EFIS: 0312000056
DIST-CO-RTE-PM03-SAC,SJ-5,160-Var
Award Date10/10/2019
Closeout Date10/27/2022
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES.
Location DescriptionSACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE
QA Service Level1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date09/09/2020 Sample Unique Key9
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sample#8 Rebar coupled with #8 HRC 500/510 Couplers
The quantity of what the sample constitutes4 Coupler Assemblies From where was the sample collectedFabricator
First name of sampler or witnessed byAndre Last name of sampler or witnessed byTotari
Title of sampler Telephone number of sampler5103863022
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCamblin Steel Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerHRC Intermediate Assembler or Fabricator
Rebar Size#8 Coupler ModelHRC 500/510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A193741 Rebar Heat Number(s)3096949
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments